Active NPI
Jose Bordon, MD
- Infectious Disease Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD33630
- Practice address
- 1140 Varnum St NE Ste 203
Washington, DC 20017-2153 - Phone
- (202) 525-5175
- Fax
- (202) 450-6088
- NPI assigned
- Jun 27, 2006
- Reactivated
- Feb 14, 2022
- Last updated
- Jul 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD33630 | DC | Primary |
Addresses
Primary practice location
1140 Varnum St NE Ste 203
Washington, DC 20017-2153
Mailing address
1140 Varnum St NE Ste 203
Washington, DC 20017-2153
Phone (202) 891-7872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1140 Varnum St NE
Suite 203
Washington, DC 20017-2153
Phone (240) 426-8890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD33630 | DC | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Health Institute | Infectious Disease | Current | Accepting new patients |
| Washington Health Institute | Infectious Disease | Current | Accepting new patients |
| Whi Community Pharmacy | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Washington Hospital Center Corp | Past | Accepting new patients |
Locations
1140 Varnum St NE
Ste 107
Washington, DC 20017
Phone (202) 635-1330
1140 Varnum St NE
Ste 203
Washington, DC 20017
Phone (202) 525-5175
1330 New Hampshire Ave NW
Ste 121
Washington, DC 20036
Phone (202) 463-0220
8630 Fenton St
Silver Spring, MD 20910
Phone (301) 565-0222
8630 Fenton St
Ste 230
Silver Spring, MD 20910
Phone (301) 588-2525
8630 Fenton St
Ste 700
Silver Spring, MD 20910
Phone (301) 587-1992
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADDGCD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Washington, DC
- NPI 1699242321
-
- Infectious Disease Physician
- Silver Spring, MD
- NPI 1518825868
-
- Infectious Disease Physician
- Washington, DC
- NPI 1851866198
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1477474880
-
- Psychiatry Physician
- Washington, DC
- NPI 1881637619
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1174550701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 VARNUM ST NE STE 203",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172153",
"telephone_number": "202-891-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 VARNUM ST NE STE 203",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172153",
"telephone_number": "202-525-5175",
"fax_number": "202-450-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDON",
"first_name": "JOSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"deactivation_date": "2022-01-31",
"reactivation_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "DC",
"license": "MD33630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.